Exhibitor Application Form

To reserve a booth at the Detroit convention in March, please fill out the application below.


Contact First Name    

Key Contact Last Name (Surname)    

Company or Affliation
(as you would like it listed in the program book)
   

Address    

City    

Country

State/Province

Zip Code/Mail Stop    

Phone No.    

Company URL    

E-Mail    

Will you be representing your company at the convention?

If no, who will be representing your company?

Phone

E-Mail

Please select the convention for which you are submitting your application for:

Check which booth you would prefer:

Payment Information

$2000


Please provide your top five booth choices:


1st    

2nd    

3rd    

4th    

5th    

Please note: Booths are assigned based on a point system. Every effort will be made not to place competitors next to one another. Confirmation of the booth number will be sent to the Key Contact and On Site Contact at least 30 days prior to the convention.


Please provide a description of the organization and nature of the exhibit (This will be published in the convention "mobile app").


   

I have read and agree to follow the exhibitor guidelines


Payment Information


Your billing information must be entered exactly as it appears on your credit card statement. If it does not match, your order will not be processed.


We accept:
Name on card:
Card number:
Expiration date:
Card CVV:
Billing Address    
Billing Address 2
Billing City    
Billing Country
Billing State
Billing Zip/Postal Code    


Should you have any questions, please refer to the exhibitor guidelines or contact Ashley Mayra at 248-848-3186 or ashley.mayra@concrete.org